{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T10:28:52Z","timestamp":1788517732125,"version":"build-2803163510"},"reference-count":15,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2017,8,2]],"date-time":"2017-08-02T00:00:00Z","timestamp":1501632000000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100007031","name":"LifeCell","doi-asserted-by":"publisher","award":["AAEF meeting in Barcelona"],"award-info":[{"award-number":["AAEF meeting in Barcelona"]}],"id":[{"id":"10.13039\/100007031","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Anal fistulas are common pathologies with a significant social impact; however, their treatment is often complex and the recurrence rate can be significant. Some surgical treatments for fistula are also associated with the risk of sphincter injury. In this technical note, we aim to evaluate the feasibility and efficacy of the Fat <jats:styled-content style=\"fixed-case\">GRAFT<\/jats:styled-content> technique (Fat Grafting in Anal Fistula Treatment) in the treatment of recurrent anal fistulas.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>All patients presenting with recurrent trans\u2010sphincteric anal fistulas over an 18\u2010month period were included. After abdominal fat harvesting and fat preparation, fat grafting was performed in the track and peripheral area of the fistula. The internal and external openings of the fistula were closed to maximally preserve the retention of the adipocyte graft in the fistula.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eleven patients underwent the Fat <jats:styled-content style=\"fixed-case\">GRAFT<\/jats:styled-content> procedure (seven men, four women). The average re\u2010injected volume for each fistula was 21\u00a0ml (range 10\u201330\u00a0ml). The postoperative course was uneventful. At 6\u00a0months three patients developed recurrence (73% healed). There were no postoperative complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The Fat <jats:styled-content style=\"fixed-case\">GRAFT<\/jats:styled-content> technique appears to be a promising technique with a low risk of anal incontinence, in contrast to other techniques. This method was effective in &gt;\u00a070% of patients in a single session.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.13782","type":"journal-article","created":{"date-parts":[[2017,6,19]],"date-time":"2017-06-19T14:02:41Z","timestamp":1497880961000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Surgical treatment of trans\u2010sphincteric anal fistulas with the Fat GRAFT technique: a minimally invasive procedure"],"prefix":"10.1111","volume":"19","author":[{"given":"N.","family":"Stroumza","sequence":"first","affiliation":[{"name":"Faculty of Medicine UPMC Paris France"},{"name":"Plastic Surgery Department APHP H\u00f4pital Tenon Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Fusco","sequence":"additional","affiliation":[{"name":"Faculty of Medicine UPMC Paris France"},{"name":"General Surgery Department APHP H\u00f4pital Tenon Paris 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